Individual
MISS AMY JO ORLOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
2817 NEW PINERY RD, SUITE 103, PORTAGE, WI 53901-9257
(608) 745-6290
Mailing address
1900 TAMARACK ST, PLOVER, WI 54467-2016
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1397-019
WI
225700000X
Massage Therapist
332379-00
WI
Other
Enumeration date
05/14/2008
Last updated
05/14/2008
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